City of
Seminole
Recreation
11th Annual
Presented By
Kids
Triathlon
Ages 5-15
Entry Info
Entry Fee: $40 BEFORE JUNE 21
$50 AFTER JUNE 21
Make checks payable to:
City of Seminole
Send form and payment to:
Tri If You Dare
9100 113th Street N.
Seminole, FL 33772
athletes Age is determined by
their age on Dec 31, 2015
based on USA Triathlon rules.
The race is limited to 325
participants, register early!
Race Distances
Race Information
All participants must pick up race
packets on Saturday, June 27
between Noon & 4:00 pm
This Race is USAT Sanctioned & All
Participants will be required to Have
A USAT Membership ($15.00)
Age
5 - 6 yrs.
7 - 8 yrs.
9 - 10 yrs.
11 - 15 yrs.
Run - Bike - Swim
.25 mi. - 1 mi. - 25 yd
.5 mi. - 2 mi. - 100 yd
.5 mi. - 2 mi. - 100 yd
1 mi. - 4 mi. - 150 yd
All Participants ARE REQUIRED TO
wear helmet while biking
Sunday, June 28, 2015 7:15 a.m.
Holland G. Mangum Recreation Complex
9100 113th Street North, Seminole, FL (727) 391-8345
2015 ‘Tri’ If You Dare! Registration Form
First:
D.O.B.
Address:
E-mail:
M.I.
Age:
T-Shirt Size:
Last:
Sex: _______Phone:
City:
Zip:
YS___ YM ___ YL ___ AS ___ AM ___ AL ___
I, the parent/legal guardian of the named child on this form, do hereby assume all risks and hazards incidental to my participation in
activities, use of the equipment and facilities or my child’s participation in activities, use of equipment and facilities of the City of
Seminole Recreation Center Complex, and I do hereby agree to waive, release, absolve, defend and hold harmless the City of Seminole,
its employees, officers, agents, volunteers, and elected officials from any and all claims, damages, losses or injuries of any kind,
resulting from the participation in activities, use of equipment and facilities of the City of Seminole’s Recreation Center Complex. This
release includes a release for any and all losses or injuries arising our of any act or omission or negligence, either active or passive of the
City of Seminole, its employees, officers, agents volunteers, and elected officials. This release is given and signed of my own free act
and will.
Signature of Parent/Legal Guardian:
Date: